摘要
目的探讨口腔癌波及口咽部术后组织缺损的修复方法。方法对应用前臂皮瓣、上臂外侧皮瓣、股前外侧皮瓣和腓骨瓣30处修复此类缺损27例回顾分析。结果组织瓣全部成活,血管危象发生率为6.67%（2/30）,受区和供区的并发症发生率为29.63%（8/27）;术后随访2-5年,2年无瘤生存率为88.89%（24/27）。结论游离组织瓣移植在头颈外科修复应用中安全、可靠,提高了患者的生存质量。
Objective To explore the method for repairing postoperative oropharynx tissue defect in patients with oral carcinoma. Methods A retrospective analysis was made on the data about 27 cases in which 30 defects were repaired by applying forearm flap, upper lateral arm flap, anterolateral thigh flap and fibula flap. Results All the flaps survived, with an incidence of vascular crisis of 6.67% （2/30） and incidence of complications at receptor and donor sites of 29.63% （8/27）. The patients were followed up for 2-5 years, and 2-y disease-free survival rate was 88.89% （24/27）. Conclusion Application of free flap transplantation in head and neck repair surgery is safe and reliable, and it can improve the life quality of the patients.
出处
《西南国防医药》
CAS
2015年第5期513-516,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
口腔
肿瘤
缺损
修复
皮瓣
移植
oral
tumor, defect
repair, skin flap
transplantation
